基于甘温扶阳法治疗缺铁性贫血

Treatment of iron deficiency anemia based on Ganwen Fuyang method

缺铁性贫血是常见的血液病之一,但治疗存在“有效率高、治愈率低”,患者经常反复的特点。“脾为气血生化之源”的理论充分体现了脾胃在气血生化过程中作用。张仲景以甘温扶阳的治法补益中焦。基于此法治疗缺铁性贫血取得疗效显著。文章探讨了缺血性贫血的病因病机,提出临证治疗缺铁性贫血的关键是甘温建中、健脾和胃、气血双补,同时还要注重消除病因、重视调护和康复治疗,通过综合防治才能取得显著疗效。

Iron deficiency anemia is one of the common blood diseases.However,there are some shortcomings in the treatment,such as“high efficiency,low cure rate”and frequent recurrence of patients.The theory that the spleen and stomach are the source of qi and blood fully reflects the role of the spleen and stomach in the process of qi and blood.ZHANG Zhongjing used the treatment method of Ganwen Fuyang to replenish the middle-jiao of spleen and stomach.Based on this method,the treatment of iron deficiency anemia has achieved significant therapeutic effects.This article explores the etiology and pathogenesis of ischemic anemia.It is proposed that the key to clinical treatment of iron deficiency anemia is to strengthening the middle-jiao of spleen and stomach by using Ganwen,and supplementing qi and blood.At the same time,it emphasizes the importance of eliminating the etiology,regulating and rehabilitation treatment,significant therapeutic effects can only be achieved through comprehensive prevention and treatment.